A small rural ED receives a 32-year-old pregnant woman at 32 weeks with severe preeclampsia and pulmonary edema. The hospital lacks obstetric ICU

Question

A small rural ED receives a 32-year-old pregnant woman at 32 weeks with severe preeclampsia and pulmonary edema. The hospital lacks obstetric ICU capability. She is stabilized with oxygen, magnesium, and antihypertensive therapy. Which of the following is the most appropriate disposition?

Accepted Answer

Arrange EMTALA-compliant transfer to a higher-level facility after stabilization and acceptance

Answer

Refuse evaluation because obstetric care is unavailable

Answer

Delay transfer until delivery occurs locally

Answer

Transfer before providing stabilizing treatment

Answer

Send by private car without accepting physician contact

EMTALA transfer — ABEM Board MCQ

A small rural ED receives a 32-year-old pregnant woman at 32 weeks with severe preeclampsia and pulmonary edema. The hospital lacks obstetric ICU capability. She is stabilized with oxygen, magnesium, and antihypertensive therapy. Which of the following is the most appropriate disposition?